SURGERY HOTLINE:
214-328-0444 MAIN NUMBER:
214-574-9600
TOLL FREE: 844-900-3937
LaserCare Eye Center
Castle Connolly Top Doctors 2026
Joint Commission logo that links to the Joint Commission homepage
Beast D 2023-2024

Medical Forms Dallas

New Patient Forms

New Patient Info

Medical History

Minor Patient Responsible Party

Notice of Privacy Practices

Amsler Grid Card

LASIK Consult Form

Other Forms

Request for Medical Records

Credit Card Authorization

Good Faith Estimate

 

Download Acrobat Reader

Free Consultation

Schedule a free consultation




    I agree to the Terms of Use

    This is for new surgical consults only. All other patients can reach us at 214 574-9600.

    Associations Logos
    Our Locations
    • Plano, TX
    • Southlake, TX
    • Irving, TX

    • M-F 8am-5pm

      4708 Dexter Dr #450

      Plano, TX 75093

      Phone: 469-331-8585

      Fax: 214-574-9601

      Plano, TX Map Get Directions

    • M-F 8am-5pm

      1900 E State Hwy 114

      Southlake, TX 76092

      Phone: 817-481-2727

      Fax: 214-574-9601

      Southlake, TX Map Get Directions

    • M-F 8am-5pm

      440 W. Interstate 635, #300

      Irving, TX 75063

      Phone: 214-574-9600

      Fax: 214-574-9601

      Irving, TX Map Get Directions
    Contact Us

    How Can We Help You?

      I agree to the Terms of Use*